<form name="backEditForm" class="form-horizontal" novalidate>
    <div style="height:300px;width:800px;overflow-y:auto;overflow-x:hidden;">
        <div class="form-group mt10 clearfix">
            <span class="col-sm-4 control-label">返款区域</span>
            <div class="col-sm-8">
                <input id="idAreaid" select2 name="area_id" ng-model="backrecord.area_id"
                       select2-model="ddl2Areaid"
                       config="ddlConfigBackAreaid" class="form-control" type="text" placeholder="返款区域"/>
            </div>

            <div ng-if="busnisseType != 4">
                <span class="col-sm-4 control-label">返款金额</span>

                <div class="col-sm-8">
                    <input type="number" ng-model="backrecord.back_amount" class="form-control"
                           placeholder="返款金额"
                           name="back_amount"
                    >
                </div>
            </div>
        </div>
        <div class="form-group mt10 clearfix">
            <span class="col-sm-4 control-label">返款时间</span>

            <div class="col-sm-8">
                <input type="text" class="input-date fl form-control" style="width:100%"
                       ui-date format="yyyy-MM-dd" ng-model="backrecord.back_date"
                       name="back_date" placeholder="返款时间"/>
            </div>

            <span class="col-sm-4 control-label"></span>

            <div class="col-sm-8">

            </div>
        </div>
        <div class="form-group mt10 clearfix">
            <span class="col-sm-4 control-label">是否收票</span>

            <div class="col-sm-8">
                <input id="is_received_invoce" select2 name="is_received_invoce" ng-model="backrecord.is_received_invoce"
                       select2-model="ddl2IsReceived"
                       config="ddlConfigRecelved" class="form-control" type="text" placeholder="是否收票"/>
            </div>

            <span class="col-sm-4 control-label">发票代码</span>

            <div class="col-sm-8">
                <input type="number" ng-model="backrecord.invoice_code" class="form-control"
                       placeholder="发票代码"
                       name="invoice_code"
                >
            </div>
        </div>

        <div class="form-group mt10 clearfix">
            <span class="col-sm-4 control-label">备注</span>

            <div class="col-sm-20">
                <textarea type="text" ng-model="backrecord.remark" class="form-control" id="remark"
                          placeholder="备注" rows="4"></textarea>
            </div>
        </div>

    </div>
</form>

